What is calcific tendinosis lavage?
Calcific tendinosis lavage is a percutaneous method of treating symptomatic calcium hydroxyapatite deposition that is refractory to conservative treatment. This procedure is most commonly performed for the treatment of calcific tendinosis in the rotator cuff. After local anesthesia is achieved, an 18 G needle is advanced into the calcium deposit using US guidance. Using a gravity-dependent syringe, lidocaine or saline is then pulsed into the deposit until it starts to break apart. It is not necessary for all of the calcium to be aspirated into the syringe for the patient to experience symptomatic relief. It is important to inject corticosteroid into the SASD bursa at the conclusion of the procedure to avoid induction of postprocedure bursitis